Fibromyalgia and Welfare Benefits

01/02/2018

Author:Liam.Evans@turn2us.org.uk

What are you entitled to?

As a sufferer of Fibromyalgia you may be entitled to a range of welfare benefits.

The benefits you may be entitled to due to fibromyalgia include; Attendance Allowance (AA), Disability Living Allowance (DLA), Personal Independence Payment (PIP), and Employment and Support Allowance (ESA).

Claiming

ESA

ESA is money for people who have limited capability for work because of their sickness or disability.

To claim ESA you will need to fill out an initial form. You can get a claim form by ringing Jobcentre Plus, or downloading it online.

You will need information such as your national insurance number and proof of identity.

You will then have to prove your limited capability for work at a Work Capability Assessment. This is made up of two parts.

Firstly a Limited Capability for Work Questionnaire will be sent to you, which you will need to complete and return.

Secondly, you will usually need to attend a medical assessment in person. A healthcare professional will see you in a face-to-face appointment then report their findings to the Department for Work and Pensions (DWP).

Appealing

If you are unsuccessful in claiming after your first face-to-face assessment you can appeal. The first stage of appealing PIP and ESA is a mandatory reconsideration.

A mandatory reconsideration is when the DWP look at their decision again and decide whether to change it.

If the decision is still not changed, you can appeal to a tribunal. The tribunal is independent to the DWP.

In the last four years, only 4% of all PIP decisions were overturned at mandatory reconsideration, and only 3% of all ESA decisions were overturned at this level as well. However, at the tribunal stage of PIP, a staggering 65% of appeals were overturned.